Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.96 / $103.75	Professional		$13.49	$29.96	$103.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $76.00 / $91.08	Professional		$34.13	$76.00	$91.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $35.96 / $42.84	Facility		$22.28	$35.96	$42.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $35.11 / $38.11	Professional		$34.15	$35.11	$38.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $35.11 / $39.56	Facility		$32.36	$35.11	$39.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $34.22 / $42.84	Facility		$29.96	$34.22	$42.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $34.22 / $41.08	Professional		$16.14	$34.22	$41.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $97.59 / $139.83	Facility		$50.92	$97.59	$139.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.33 / $28.77	Professional		$27.33	$27.33	$28.77
United Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $51.37 / $91.98	Professional		$24.03	$51.37	$91.98